They allow you the freedom to choose any provider, but provide a higher reimbursement if your provider contracts as a preferred provider with Uniform Medical. Please visit the HCA page listing medical plans available by county to find plans that serve your area. Uniform Medical Plan (UMP) These plans are administered by Regence BlueShield. Make an appointment online instantly with Family Physicians that accept Uniform Medical Plan insurance. More than 3 million health professionals profiled. It's free! The certificate of coverage (COC) for the member's plan is the source of coverage provisions offered under the plans. Also, the COC may have additional information on this subject. The one exception is the CDHP plan, which charges the same coinsurance for all tiers of drugs. Find, Compare, and Connect With Family Doctors who accept Uniform Medical Plan Insurance. For a summary of benefits and costs, see Is there a quick way to see benefits and costs? Swedish is out-of-network with the following UMP plans: UMP Plus (PSHVN) UW Medicine AHN ; You should confirm with your insurance provider that the doctor you select participates with your insurance plan. Uniform- Medical Store Business Plan Bundle. Be sure to call the plans you are interested in to ask about provider availability in your county. This way, you can make sure your doctors are in-network for the plan you choose. 2020: © 2020 University of Washington | Seattle, WA, University of Washington Human Resources Home, HR Benefits, Analytics & Information Systems, Professional & Organizational Development, step-by-step instructions for enrolling in benefits, Discounts on auto, home, and renters insurance, Physician Assistants students: LTD insurance, Fund review committee for UW retirement plans, DCAP: Tax savings for child and elder care, UW Medicine Health System Employment Transition, UMP Plus: UW Medicine Accountable Care Network, UMP Plus – UW Medicine Accountable Care Network, UMP Plus – Puget Sound High Value Network. Insurance pays the remaining percentage of the cost. Is there a quick way to see benefits and costs? Rated | 3 Reviews. Information regarding accepted Uniform Medical Plan Plus insurance plans.. Uniform Medical Plan (UMP) offers you four different health plans through Washington state’s Public Employees Benefits Board (PEBB). What are my plan options? This means that you and any adult dependents may need to travel to another county served by UMP Plus—PSHVN for primary care services from a network provider. Learn more about the plans. The Classic, Select, and CDHP plans share the same large network that includes providers both nationwide and worldwide. Uniforms Plus sales are now online or via in-school stores. Health plans with health savings accounts (HSAs) Contact HCA. Looking for 2020 school employee monthly premiums? If you need to submit a claim, contact UMP. You may have to submit a claim if you receive services for a provider that is outside your network or if you have other insurance where your UMP coverage is secondary. If you aren’t clear about any of If you move out of your plan's service area, you may need to change plans. may be used for claims for Uniform Medical Plan, UMP Classic, UMP CDHP, or UMP Plus. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. B. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. 1 of 8 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2019 – 12/31/2019 Uniform Medical Plan (UMP) Plus—UW Medicine Accountable Care Network (ACN) Coverage for: Individual/Family | Plan Type: ACP The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Title 1. You don’t have to submit a claim when you visit a provider who is part of your plan’s network. To view plan details side by side and directly compare coverage and costs, use the PEBB medical benefit comparison tool. After you reach this limit, the plan pays 100% of … Also, the COC may have additional information on this subject. Retirement and Insurance Service.] The following documents — called a Certificate of Coverage — provide in-depth descriptions of the health care benefits for each plan. There are two data suppliers: Regence supplies eligibility and data relating to medical and behavioral health (BH) claims; Moda supplies data relating to Pharmacy claims. Uniform Plan : basic plus major medical coverage benefits.. [United States. Uniform Medical Plan (UMP) Plus–UW Medicine Accountable Care Network (ACN) (PEBB) Coverage for: Individual/Family | Plan Type: ACP The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Angie's List since July 2012. Read Ratings & Reviews from Other Patients. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. Call WA State Rx Services at 1-888-361-1611 for pharmacy. Read Ratings & Reviews from Other Patients. Please email Uniforms Plus below to arrange for an in-school store program. Uniform Medical Plan has estimated annual revenues of $84,000.00 and also employs an estimated 2 … See reviews, photos, directions, phone numbers and more for the best Health Maintenance Organizations in Seattle, WA. All appointment times are guaranteed by our Uniform Medical Plan Doctors & Providers. About Washington State Uniform Medical Plan: Washington State Uniform Medical Plan in Olympia, WA - Thurston County is a business listed in the categories State Government, Physicians & Surgeons Family Practice, Physicians & Surgeons Family & General Practice, Government Offices State and Physicians & … For in-depth descriptions of benefits and coverage, see What are the full benefits of each plan? For each person enrolled in UMP Classic, the prescription drug out‑of‑pocket limit is $2,000 per person, with no family maximum. Uniform Medical Plan. Uniform Medical Plan. Uniform Medical Plan in Seattle on YP.com. UMP administered by Regence BlueShield (Medical only) Kaiser WA offers four plans to UW employees: Classic, Value, SoundChoice, and a CDHP. Medical plans available by county. Compare medical plans. While all plans cover the same basic health care services, you may want to know whether or not a certain service is covered by the plan. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. UMP Classic and UMP Select are the only plans that have separate prescription drug deductibles. Willamette Dental Group of Washington, Inc. 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The most direct way to find out is to call the plan and ask. Email Uniforms Plus Phone: (210) 651-1255 × × × × Please use PayPal for Credit Card payment. These booklets are long, but they can be helpful if you need to know something specific. After you enroll, your health plan will send you an identification (ID) card to show to providers when you receive care. Learn more about the plans. You can find step-by-step instructions for enrolling in benefits on the Integrated Service Center’s website. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. All school employees are offered a selection of plans based on their county of residence or the county where their school district, charter school, or educational service district is based. You must report your new address to your payroll or benefits office no later than 60 days after your move. However, they only apply to Tier 2 prescription drugs, so you don’t have to pay the deductible if you use prescription drugs from any other tier, which includes most generic and low-cost drugs. Get this from a library! You’re eligible to enroll in a UMP plan if you’re eligible for PEBB benefits. Uniform Medical Plan Classic (Non-Medicare) Coverage Period: 01/01/2017 - 12/31/2017 Summary of Benefits and Coverage: What This Plan Covers & What it Costs Coverage for: Individual/Family Plan Type: PPO Questions: Call 1-888-849-3681 (TTY 711) for medical. Find Uniform Medical Plan Family Physicians & Providers with verified reviews. Learn more about the Uniform Medical Plan (UMP) plans, administered by Regence BlueShield and Washington State Rx Services (WSRxS). UMP has issued a COVID-19 summary of changes for their Certificates of Coverage. The amount you pay increases as you move up the tiers from the least expensive, generic drugs, to the more expensive, specialty drugs. Kaiser Permanente NW plans. To browse each plan’s network or to find a specific provider, either call the plan directly or use the plan’s web search tool. These plans offer coverage worldwide. Learn more about your customer service options. With copayments, on the other hand, you pay a fixed amount (for example, $20). Uniform Medical Plan (UMP) Plus If you live in Snohomish, King, Pierce, Thurston or Kitsap county, one of the “UMP Plus” networks may be right for you. Licensing. While plans using coinsurance are more common, some people prefer plans with copayments because costs are more predictable. To browse each plan’s network or to find a s… Uniform Medical Plan offers four plans to UW employees: Classic, CDHP, and two Plus plans. Telehealth services through PSHVN may also be an appropriate option for some primary care needs. Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. UMP Plus benefits: Your costs, medical services, prescription drugs Search. Office of Personnel Management. Affordable Care Act 2021 Accepted Insurance Plans Vision benefits are part of your medical plan. Under state law, the Uniform Medical Plans (UMP Achieve 1, UMP Achieve 2, UMP Classic, UMP CDHP, UMP High Deductible, UMP Plus – Puget Sound High Value Network, and UMP Plus – UW Medicine ACN) must comply with decisions made by the Health Technology Clinical Committee (HTCC). Doctor.com can help you find a Family Doctor who accepts Uniform Medical Plan insurance in Louisiana. If information given here is inconsistent with the applicable COC, the rules in the applicable COC will apply. Hello, Sign in. For all the plans, you pay coinsurance for prescriptions. In most cases, you must live or work in the medical plan’s service area to join the plan. Benefits & coverage by plan. The Puget Sound High Value Network (PSHVN) is a network comprised of the highest quality health care organizations. Read Ratings & Reviews from Other Patients. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. Copayments are usually made at the doctor’s office, when you receive the service. Tools ... for the member's plan is the source of coverage provisions offered under the plans. If you simply want an overview of a plan’s coverage and costs, take a look at the plan Summary of Benefits and Coverage, an easy-to-read summary that lets you quickly review health plans. MEDICAL SCRUBS AVAILABLE AT THE STORE. More than 3 million health professionals profiled. Health Insurance - Agents & Companies. Which year would you like information on? Medical Benefit Comparison. The following documents — called a Summary of Benefits and Coverage — provide summaries of what each plan covers and what it costs. All statements concerning insurance, licenses, and bonds are informational only, and are self-reported. Uniform Medical Plan (UMP) plans. may be used for claims for Uniform Medical Plan, UMP Classic, UMP CDHP, or UMP Plus. Pediatric primary care as well as adult and pediatric specialty care remains available in the Olympia area. Uniform Medical Plan Plus. Praesent eget scelerisque neque. currently two ACP networks supporting Uniform Medical Plan (UMP) Plus, these are the Puget Sound High Value Network (PSHVN) and the University of Washington (UW) Medicine. Contact your health insurance plan for information on covered services before your appointment. The SBC shows you how you and the … Uniform Medical Plan (UMP) - Virginia Mason Medical … All appointment times are guaranteed by our Uniform Medical Plan Family Physicians & Providers. With the Uniform Medical Plan, you may choose from the plans listed below. Providers can be found in the provider directory, or by contacting the medical plan. 2020 PEBB Plan Comparison Chart 2021 PEBB Plan Comparison Chart. UMP Plus offers: Two networks of providers: o UMP Plus – Puget Sound High Value Network (PSHVN) o UMP Plus – UW Medicine Accountable Care Network (ACN) Some school employees may have more plan options if they work in a district that crosses county lines. Since 2010, Uniform Medical Plan has been providing Health And Allied Services, Nec from Seattle. Medical plans & benefits. It's free! If you have questions about your ID card, contact your plan directly. UMP Plus—​Puget Sound High Value Network (PSHVN) does not have primary care network providers for adults in Thurston County at this time due to limited access. Service Categories . While you pay for coverage through UW, the state designs the plans and contracts with Regence BlueShield and Washington State Rx Services to administer the plan. (UMP Achieve 1, UMP Achieve 2, UMP High Deductible, UMP Plus)Online: Uniform Medical Plan for school employeesPhone: 1-800-628-3481TRS: 711, UMP Plus–Puget Sound High Value NetworkOnline: UMP Plus–Puget Sound High Value Network for school employeesPhone: 1-877-345-8760, UMP Plus–UW Medicine Accountable Care NetworkOnline: UMP Plus–UW Medicine Accountable Care Network for school employeesPhone: 1-855-520-9400TRS: 711, UMP administered by Washington State Rx Services (Prescription drugs only)Online: Prescription drug information for school employeesPhone: 1-888-361-1611TRS: 711, Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Update my income or address (report a change), Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. 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